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Volume 16, Issue 9, September 2019 - First Report Managed Care

Featured Article

Managed Care Innovator: Jake Frenz
09/18/2019
Jake Frenz, CEO and founder of SmithRx, outlines his health care vision through the prism of his growing start-up, breaking down what is wrong with the traditional way of managing the pharmacy benefit, and explains how he and his company are...
Jake Frenz, CEO and founder of SmithRx, outlines his health care vision through the prism of his growing start-up, breaking down what is wrong with the traditional way of managing the pharmacy benefit, and explains how he and his company are...
Jake Frenz, CEO and founder of...
09/18/2019
First Report Managed Care
Benefits of Interprofessional Collaborative Practice
09/18/2019
As health care costs in the United States continue to climb, strategies to shift the direction of health care delivery to ensure better quality at lower cost remain front and center of the health care debate.
As health care costs in the United States continue to climb, strategies to shift the direction of health care delivery to ensure better quality at lower cost remain front and center of the health care debate.
As health care costs in the...
09/18/2019
First Report Managed Care
Physician Fatigue in the EHR Era
09/18/2019
Electronic health records have been blamed as a significant source of physician frustration and even burnout. Is it possible for managed care leaders to turn this technology from a burden to a boon?
Electronic health records have been blamed as a significant source of physician frustration and even burnout. Is it possible for managed care leaders to turn this technology from a burden to a boon?
Electronic health records have...
09/18/2019
First Report Managed Care

Department

Formulary Frontlines®
Costly Burden of Managing Multiple Sclerosis
09/18/2019
In addition to physical and emotional impact of MS, the economic burden is considerable, ranking second among all chronic conditions in direct costs behind congestive heart failure.
In addition to physical and emotional impact of MS, the economic burden is considerable, ranking second among all chronic conditions in direct costs behind congestive heart failure.
In addition to physical and...
09/18/2019
First Report Managed Care
Managed Care Q&A
Using Real-World Data the Right Way
09/18/2019
Pramod John, PhD, CEO of VIVIO Health, discusses a recent presentation where he spoke about using real-world data to drive better outcomes and lower costs, as well as weighs the benefits of value-based care.
Pramod John, PhD, CEO of VIVIO Health, discusses a recent presentation where he spoke about using real-world data to drive better outcomes and lower costs, as well as weighs the benefits of value-based care.
Pramod John, PhD, CEO of VIVIO...
09/18/2019
First Report Managed Care
Conference Insider
What to Expect at Health Care Quality Congress 2019, An Official Conference by NCQA
09/18/2019
Returning this October 2-4 in Dallas, TX is Health Care Quality Congress (HQC) 2019, an official conference by NCQA. This meeting was formerly offered as two regional meetings focused on health plan accreditation and HEDIS and was merged...
Returning this October 2-4 in Dallas, TX is Health Care Quality Congress (HQC) 2019, an official conference by NCQA. This meeting was formerly offered as two regional meetings focused on health plan accreditation and HEDIS and was merged...
Returning this October 2-4 in...
09/18/2019
First Report Managed Care
Conference Insider
Use of a PCMH Model in an Employer-Based Worksite Clinic Lowers Costs, Improves Care
09/18/2019
During a recent session at PCMH Congress 2019, Kathryn E Gibson, MD, FAAFP, medical director of health and wellness at ARUP Laboratories, identified rationale for the alignment of workplace health needs and PCMH principles, described the...
During a recent session at PCMH Congress 2019, Kathryn E Gibson, MD, FAAFP, medical director of health and wellness at ARUP Laboratories, identified rationale for the alignment of workplace health needs and PCMH principles, described the...
During a recent session at PCMH...
09/18/2019
First Report Managed Care
Conference Insider
How Telehealth Polices Help Shape Care, Improve Access to Quality
09/18/2019
Mei Wa Kwong, JD, executive director at Center for Connected Health Policy (CCHP), discusses how CCHP, an organization working to advance telehealth policies, improves health outcomes as well as access to quality services, during a session at...
Mei Wa Kwong, JD, executive director at Center for Connected Health Policy (CCHP), discusses how CCHP, an organization working to advance telehealth policies, improves health outcomes as well as access to quality services, during a session at...
Mei Wa Kwong, JD, executive...
09/18/2019
First Report Managed Care
Conference Insider
Why Investment in Primary Care Through PCMH Utilization is Important
09/18/2019
Ann Greiner, MCP, president and CEO of Patient Centered Primary Care Collaborative, Washington, DC, kicked off the first session of PCMH Congress 2019. Ms Greiner first explained that primary care is being reinvented with PCMH. She said that...
Ann Greiner, MCP, president and CEO of Patient Centered Primary Care Collaborative, Washington, DC, kicked off the first session of PCMH Congress 2019. Ms Greiner first explained that primary care is being reinvented with PCMH. She said that...
Ann Greiner, MCP, president and...
09/18/2019
First Report Managed Care
News Connection
Random Plasma Glucose Tests Predict Diabetes Diagnosis
09/18/2019
Random blood tests could be used to predict the development of diabetes and lead to earlier treatment and better outcomes, suggests a study published online in PLoS One.
Random blood tests could be used to predict the development of diabetes and lead to earlier treatment and better outcomes, suggests a study published online in PLoS One.
Random blood tests could be used...
09/18/2019
First Report Managed Care

Insights

Interview
The Benefits of Leveraging and Integrating Cloud-Based Technology
09/18/2019
In a recent podcast, Jim Adams, CIO of AllianceRx Walgreens Prime and Sean Creehan, president of pharmacy business of Inovalon, break down the different uses of technology in the health care sector and highlight how patients can benefit from...
In a recent podcast, Jim Adams, CIO of AllianceRx Walgreens Prime and Sean Creehan, president of pharmacy business of Inovalon, break down the different uses of technology in the health care sector and highlight how patients can benefit from...
In a recent podcast, Jim Adams,...
09/18/2019
First Report Managed Care

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News
Most Effective Complementary, Alternative Medicine for Psoriasis
11/12/2018
Researchers recently examined complementary and alternative medicine therapies for the treatment of plaque psoriasis and identified the most effective treatments.
Researchers recently examined complementary and alternative medicine therapies for the treatment of plaque psoriasis and identified the most effective treatments.
Researchers recently examined...
11/12/2018
First Report Managed Care
News
House OK’s bill making insurers pay for autism services
07/29/2010
07/29/2010
First Report Managed Care
News Connection
Access to Multiple Health Systems May Put Patients at Risk
12/19/2016
The safety of patients with dementia who received prescriptions through both the Veterans Affairs system and through Medicare Part D was compromised. 
The safety of patients with dementia who received prescriptions through both the Veterans Affairs system and through Medicare Part D was compromised. 
The safety of patients with...
12/19/2016
First Report Managed Care
News
Lower Medicaid Dispensing Fees May Pressure Pharmacies
12/06/2011
12/06/2011
First Report Managed Care
News
Stem Cells Offer Promising Key to New Malaria Drugs - US Research
02/13/2015
Human stem cells engineered to produce renewable sources of mature, liver-like cells can be grown and infected with malaria to test potentially life-saving new drugs.
Human stem cells engineered to produce renewable sources of mature, liver-like cells can be grown and infected with malaria to test potentially life-saving new drugs.
Human stem cells engineered to...
02/13/2015
First Report Managed Care

Video Insights

Videos
Bridging the Gaps in Prior Authorization: Challenges, Solutions, and Collaboration for Better Patient Care
11/13/2024
David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...
David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...
David Sand, MD, MBA, chief...
11/13/2024
First Report Managed Care
Richard Lipton, MD
Videos
The Evolving Role of CGRP-targeting Therapies in Migraine Prevention
10/31/2024
Richard Lipton, MD, provides insights on the American Headache Society’s position statement update on calcitonin gene-related peptide (CGRP)-targeting therapies as a first-line option for the prevention of migraine.
Richard Lipton, MD, provides insights on the American Headache Society’s position statement update on calcitonin gene-related peptide (CGRP)-targeting therapies as a first-line option for the prevention of migraine.
Richard Lipton, MD, provides...
10/31/2024
First Report Managed Care
Alexander Spira, MD, PhD
Videos
Unmet Needs in the Treatment and Management of Non–Small Cell Lung Cancer
09/26/2024
Alexander I. Spira, MD, PhD, discusses significant unmet needs in the treatment and management of non–small cell lung cancer (NSCLC).
Alexander I. Spira, MD, PhD, discusses significant unmet needs in the treatment and management of non–small cell lung cancer (NSCLC).
Alexander I. Spira, MD, PhD,...
09/26/2024
First Report Managed Care
Videos
Treatment Options for NSCLC: A Discussion on Coverage, Clinical Outcomes, and Payer Perspectives
09/25/2024
Learn about research developments in 1L therapy for NSCLC patients with EGFR mutations and how outcomes may impact coverage and reimbursement decisions for insurers.
Learn about research developments in 1L therapy for NSCLC patients with EGFR mutations and how outcomes may impact coverage and reimbursement decisions for insurers.
Learn about research...
09/25/2024
First Report Managed Care
Title Card
Videos
Addressing the Root Cause of a Common Ocular Condition: A Virtual Roundtable
09/04/2024
View a roundtable discussion on Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.
View a roundtable discussion on Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.
View a roundtable discussion on...
09/04/2024
First Report Managed Care
Jordan Bazinsky
Videos
Addressing Health Disparities and Promoting Equity: The Role of Advanced Imaging Solutions
08/15/2024
Guest expert Jordan Bazinsky discusses the challenges facing the medical imaging industry, the potential of AI and emerging technologies, the role of advanced imaging solutions in promoting health equity, and the key trends and challenges...
Guest expert Jordan Bazinsky discusses the challenges facing the medical imaging industry, the potential of AI and emerging technologies, the role of advanced imaging solutions in promoting health equity, and the key trends and challenges...
Guest expert Jordan Bazinsky...
08/15/2024
First Report Managed Care
Farrukh Awan, MD
Videos
Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia
08/14/2024
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).
Farrukh Awan, MD, highlights...
08/14/2024
Journal of Clinical Pathways
Hayward
Videos
Evolving Health Care Contact Centers Into Drivers of Value-Based Care
07/31/2024
Discover how health care contact centers can transform into drivers of value-based care through AI, automation, upskilling agents, and rethinking workflows and metrics to improve patient outcomes and population health.
Discover how health care contact centers can transform into drivers of value-based care through AI, automation, upskilling agents, and rethinking workflows and metrics to improve patient outcomes and population health.
Discover how health care contact...
07/31/2024
First Report Managed Care
Lucille Accetta Headshot
Videos
Enhancing Patient Medication Adherence: Insights and Strategies From Asembia 2024
06/11/2024
Lucille Accetta, PharmD, MBA, MSPH, Senior Vice President of CVS Specialty Operations
Key stakeholders in the health care industry gathered to discuss prevalent topics at this year's Asembia annual summit. Medication adherence emerged as one of the most talked-about issues. In a session led by Lucille Accetta, PharmD, MBA,...
Key stakeholders in the health care industry gathered to discuss prevalent topics at this year's Asembia annual summit. Medication adherence emerged as one of the most talked-about issues. In a session led by Lucille Accetta, PharmD, MBA,...
Key stakeholders in the health...
06/11/2024
First Report Managed Care
Melissa Andel, Principal, CommonHealth Solutions, LLC
Videos
Navigating the Impact of the Inflation Reduction Act: Implications for Payers, Patients, and Manufacturers
05/24/2024
Melissa Andel, Principal, CommonHealth Solutions, LLC
Learn about the impacts of the Inflation Reduction Act on payers and patients, highlighting the changes in Medicare benefits and drug coverage coming in 2025 and 2026.
Learn about the impacts of the Inflation Reduction Act on payers and patients, highlighting the changes in Medicare benefits and drug coverage coming in 2025 and 2026.
Learn about the impacts of the...
05/24/2024
First Report Managed Care

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September 2019 Volume 16 Issue 9

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